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The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
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Related Experiment Video

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The form of exercise to decrease resting blood pressure in older adults: A systematic review and meta-analysis.

Yutaka Igarashi1, Nobuhiko Akazawa2, Seiji Maeda3

  • 1Osaka City University, 3‑3‑138 Sugimoto, Sumiyoshi‑ku, Osaka 558-8585, Japan.

Archives of Gerontology and Geriatrics
|June 3, 2021
PubMed
Summary

Regular exercise, including aerobic and resistance training, can lower resting blood pressure (RBP) in older adults. Resistance exercise shows moderate evidence for RBP reduction, while aerobic exercise has limited evidence.

Keywords:
65 Years oldFrequency of exerciseGRADE approachIntensity of exerciseRandomized controlled trial

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Area of Science:

  • Gerontology
  • Cardiovascular Health
  • Exercise Science

Background:

  • Older adults are susceptible to hypertension.
  • Exercise is a key non-pharmacological intervention for managing blood pressure.
  • Understanding the impact of different exercise modalities on blood pressure in this population is crucial.

Purpose of the Study:

  • To systematically review and meta-analyze the relationship between exercise type and changes in resting blood pressure (RBP) in adults aged 65 and older.
  • To assess the overall level of evidence for exercise-induced RBP changes in this demographic.

Main Methods:

  • Systematic review and meta-analysis of 19 studies including 1081 participants aged 65+.
  • Inclusion criteria focused on studies of regular exercise interventions.
  • GRADE approach was used to assess the overall evidence quality.

Main Results:

  • Both aerobic and resistance exercise interventions led to decreased RBP.
  • Resistance exercise intensity (METs) was significantly associated with systolic RBP reduction (R²=35.4%).
  • Aerobic exercise duration was linked to systolic RBP reduction in studies with low risk of bias (R²=93.2%).

Conclusions:

  • Active exercise may contribute to reduced systolic RBP in older adults.
  • Moderate evidence supports resistance exercise for RBP reduction, while evidence for aerobic exercise is limited.